INTERIM HEALTHCARE Full NPI Record 1003018300
Home Health in Springfield, IL

Complete NPI Dataset

The following table represents the complete NPI 1003018300 dataset for Interim Healthcare in 2425 W ILES AVE SUITE 101 SPRINGFIELD, IL 62704. The data table includes a list of all field names, values and definitions of the complete NPI record. The NPI dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1003018300The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameCAPITOL HEALTHCARE GROUP, INC.The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization NameINTERIM HEALTHCAREOther name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address2425 W ILES AVEThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Second Line Business Mailing AddressSUITE 101The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City NameSPRINGFIELDThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameILThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code627044255The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number2177933650The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.


Provider Business Mailing Address Fax Number2177933675The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address2425 W ILES AVEThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE 101The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSPRINGFIELDThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameILThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code627044255The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number2177933650The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2177933675The fax number associated with the location address of the provider being identified.
Provider Enumeration Date5/31/2007The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date8/22/2020The date that a record was last updated or changed.
Authorized Official Last NameNACHTWEYThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameJAMESThe first name of the authorized official.
Authorized Official Title or PositionPRESIDENTThe title or position of the authorized official.
Authorized Official Telephone Number2177933650The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1251E00000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1Y
Is Organization SubpartN